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April 19, 1913


Author Affiliations


JAMA. 1913;60(16):1205-1208. doi:10.1001/jama.1913.04340160007003

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With the adoption of more uniform and systematic methods of accounting in the administration of the hospitals throughout the country, it has occurred to me that the same line of improvement might be continued in the matter of hospital clinical records. There exists in almost every hospital a wealth of clinical material, the systematic record of which would afford untold value in proving the efficacy of any particular line of treatment, medical or surgical, or the relative value of the various diagnostic signs. With the uniform recording of the clinical observations and the laboratory findings, the correlation of all such data would be made possible.

Investigation of the records of a few hospitals would soon convince one of the necessity for some such uniformity or standard of method. There are few hospitals, and these mostly in close connection with medical schools, which attempt to keep any record of the patient's

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